Individual
JENNIFER LEE DUNIVANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
284 BROADWAY AVE, YOUNGSTOWN, OH 44504-1752
(330) 743-5309
(330) 743-2756
Mailing address
535 MARMION AVE, YOUNGSTOWN, OH 44502-2323
(330) 782-5664
(330) 782-1614
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.365071
OH
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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